COVID-19大流行后罗马尼亚康斯坦察牙医的肌肉骨骼疾病

C. Pușcașu, A. Caraiane, Gheorghe Raftu, Radu Andrei Pușcașu, Cristina Bartok- Nicolae
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摘要

肌肉骨骼疾病(MSD)是影响牙医工作的一类疾病。本研究的目的是调查康斯坦察牙医中MSD的患病率和特征,他们在工作中的姿势和人体工程学标准的采用。方法:选取康斯坦察市280名私人执业牙医为研究对象。有效率为65% (n=182)。参与者填写了一份35项的问卷,包括个人资料、工作职位、MSD特征和治疗方法。p<0.05为显著性水平。结果:67%的牙医报告存在MSD, 71%的牙医认为症状与牙齿活动有关。MSD主要位于颈部(41%),其次是下背部(24%)。MSD的存在与体重之间无统计学相关性(p=0,7)。27%的研究对象一直使用坐姿,46%的研究对象同时使用坐姿和站姿。在2019冠状病毒病大流行期间,MSD病理存在与牙医的活动无统计学意义(p=0,8)。结论:口腔医生报告MSDs的比例较高。主要部位是脊柱、颈椎和下背部。结论是,康斯坦察牙医报告的导致颈部和背部的姿势问题与其他国家的牙医相当。采取正确的姿势,运动和伸展运动可以预防或减少静态牙齿活动的影响。
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Musculoskeletal Disorders among Dentists from Constanta, Romania after COVID-19 Pandemic
Musculoskeletal disorders (MSD) are a category of work-related diseases affecting the dentists. The aim of this work is to investigate among dentists from Constanta the prevalence and characteristics of MSD, their posture during working and the adoption of ergonomic standards. Methods: A sample of 280 dentists working in private practice in Constanta were invited to participate to this study. The response rate was 65% (n=182). The participants filled a 35-items questionnaire including personal data, working position, MSD characteristics and treatment. The level of significance was set at p<0.05. Results: 67% of the dentists reported the presence of MSD and 71% consider that symptoms are related to the dental activity. MSD were located mostly in cervical area and neck (41%), followed by lower back (24%). No statistical correlation was found between presence of MSD and body weight (p=0,7). A sitting position was always used by 27% of subjects, 46% are using both sitting and standing working postures. No statistical significant correlation was found among the presence of MSD pathology and the activity of the dentists during Covid-19 pandemic (p=0,8). Conclusion: A high percentage of dentists reported MSDs. The main location is the spine, the cervical and lower back area. It is concluded postural problems leading to neck and back reported from the dentists in Constanta are comparable to those from other countries. Adoption of correct posture, sport and stretching exercises could prevent or minimize the effect of static dental activity.
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